Registration Children/Youth Faith Formation Registration Form Step 1 of 3 - Family Contact Information 33% Mother's Name* First Last Mother's Religion* Mother's Cell Phone*Mother's Email* Home Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Name First Last Father's Religion Father's Cell PhoneFather's Email Different Home Phone/Address than Mother? Yes No Father's Home Phone*Father's Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Our family is interested in the following: (Please check) Monthly Family Masses (all ages) Monthly Home Activities and Prayer (all ages) First Communion Preparation (Gr. 1 and 2) Confirmation Preparation (Gr. 7 and 8) Children's Liturgy of the Word (Gr. 3 and younger) Scriptures, Saints and Virtues (Gr. 4-6) High School Book Study (Gr. 9-12) Please Note: Except for the Family Masses, during Fall 2020, most activities will take place at home, using video conferencing when appropriate. Per Diocese of Memphis norms, preparation for First Communion and Confirmation is a two-year process. Ages are approximate, but usually children prepare for First Communion during grades 1 and 2, and Confirmation in grades 7 and 8.Other Interest* St. Peter Church welcomes all children and teens and strives to be as inclusive as possible in providing catechesis and sacramental preparation for children with disabilities. Children with disabilities make a most valuable contribution to our parish. Our parish special needs advocate is happy to meet with parents to discuss ways we can adapt our parish programs to meet the needs of their child.Number of Children Being Registered*12345Child 1Name* First Last Date of Birth* MM slash DD slash YYYY Age* School* Grade*Pre-KKindergarten1st Grade2nd Garde3rd Grade4th Grade5th Grade6th Grade7th Garde8th Grade9th Grade10th Grade11th Grade12th GradeReceived Baptism?* Yes No Date of Baptism MM slash DD slash YYYY Received First Communion?* Yes No Date of First Communion MM slash DD slash YYYY Received Confirmation?* Yes No Date of Confirmation MM slash DD slash YYYY Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)Child 2Name First Last Date of Birth MM slash DD slash YYYY Age School GradePre-KKindergarten1st Grade2nd Garde3rd Grade4th Grade5th Grade6th Grade7th Garde8th Grade9th Grade10th Grade11th Grade12th GradeReceived Baptism? Yes No Date of Baptism MM slash DD slash YYYY Received First Communion? Yes No Date of First Communion MM slash DD slash YYYY Received Confirmation? Yes No Date of Confirmation MM slash DD slash YYYY Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)Child 3Name First Last Date of Birth MM slash DD slash YYYY Age School GradePre-KKindergarten1st Grade2nd Garde3rd Grade4th Grade5th Grade6th Grade7th Garde8th Grade9th Grade10th Grade11th Grade12th GradeReceived Baptism? Yes No Date of Baptism MM slash DD slash YYYY Received First Communion? Yes No Date of First Communion MM slash DD slash YYYY Received Confirmation? Yes No Date of Confirmation MM slash DD slash YYYY Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)Child 4Name First Last Date of Birth MM slash DD slash YYYY Age School GradePre-KKindergarten1st Grade2nd Garde3rd Grade4th Grade5th Grade6th Grade7th Garde8th Grade9th Grade10th Grade11th Grade12th GradeReceived Baptism? Yes No Date of Baptism MM slash DD slash YYYY Received First Communion? Yes No Date of First Communion MM slash DD slash YYYY Received Confirmation? Yes No Date of Confirmation MM slash DD slash YYYY Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)Child 5Name First Last Date of Birth MM slash DD slash YYYY Age School GradePre-KKindergarten1st Grade2nd Garde3rd Grade4th Grade5th Grade6th Grade7th Garde8th Grade9th Grade10th Grade11th Grade12th GradeReceived Baptism? Yes No Date of Baptism MM slash DD slash YYYY Received First Communion? Yes No Date of First Communion MM slash DD slash YYYY Received Confirmation? Yes No Date of Confirmation MM slash DD slash YYYY Medical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience) Faith Formation Fees: Our parish programs for children and youth are paid through parishioners' contributions, and all families are encouraged to pledge annually during the stewardship campaign. In addition, for those who participate in our faith formation activities for children and teens, we suggest a donation to help defray the costs of materials and related expenses. Suggested Faith Formation Donation for Fall 2020: $15/child or $30/family Please note: Families are welcome to contribute more or less as necessary, depending on individual financial circumstances.. Below is the photo permission form needed to take pictures of children or teens at St. Peter. Since we will be using video conferencing for some of our faith formation this fall, we have included this in our permission. Note: Parents are expected to be present or close by their child when we are using video. Additional safety measures will be sent via email to those participating. I give permission for my child to be photographed or videoed as follows: In Parish Use - including but not limited to bulletin board displays, slide shows, class-made books, or student multimedia projects; students may be identified by first and last name. (Not posted on the Internet)* Yes No In Parish Video Conferencing - Microsoft Teams, Google Meet, Zoom or other media including but not limited to Confirmation Preparation, HS Book Discussion Group, Children's Liturgy of the Word, Scripture Saints and Virtues, and other faith formation events for children or teens* Yes No Outside Publications - including but not limited to Diocesan publications; students may be identified by first and last name.* Yes No Internet- including but not limited to parish website, parish Facebook page; students may be identified by first and last name.* Yes No Parent or guardian signature* Date* MM slash DD slash YYYY
